Disease Burden, Psychological Well-Being and Attitudes regarding the Set of Emergency Medication in Adults with Insect Venom Allergy

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Disease Burden, Psychological Well-Being and Attitudes regarding the Set of Emergency Medication in Adults with Insect Venom Allergy. / Schaarschmidt, Marthe-Lisa; Gutknecht, Mandy; Schoeben, Lisa; Schmieder, Astrid.

in: INT ARCH ALLERGY IMM, Jahrgang 176, Nr. 2, 2018, S. 150-156.

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@article{d56fae6dbe98440c9d2a280253498901,
title = "Disease Burden, Psychological Well-Being and Attitudes regarding the Set of Emergency Medication in Adults with Insect Venom Allergy",
abstract = "BACKGROUND: Insect venom allergy is common and greatly impairs patients' quality of life. Additionally, low compliance with carrying emergency medication is reported. The aim of our study was to analyze the disease burden, levels of anxiety and depression, and to evaluate attitudes towards the set of emergency medication in affected patients.METHODS: Between April 2016 and January 2017, patients ≥18 years visiting our department because of an insect venom allergy were asked to complete a paper-based questionnaire. The questionnaire assessed willingness to pay (WTP), the Hospital Anxiety and Depression Scale (HADS), subjective anxiety levels, willingness to carry the set of emergency medication, self-assurance in using it, compliance with carrying it, and reasons for not always carrying it.RESULTS: 55 patients (81.8% wasp allergy) were included. On average, WTP for a complete cure was EUR 1,727 (median: 500). Using the HADS, 14.5% showed definite anxiety disorders while 5.5% had significant depression disorders. Most patients stated to carry the emergency medication {"}always{"} (25.5%) or {"}almost always{"} (47.3%). {"}Forgetfulness{"} (36.4%) was reported as the main reason for not always carrying the medication, followed by {"}too big{"} (18.2%).CONCLUSIONS: In our patient cohort, insect venom allergy was associated with a moderate disease burden and a good compliance with carrying the emergency medication. However, several of our participants demonstrated borderline or significant anxiety and/or depression disorders. In this regard, this study highlights the necessity to regularly ask the patient about the psychological well-being to identify patients needing psychological support.",
keywords = "Adult, Aged, Anxiety, Attitude to Health, Cost of Illness, Depression, Emergencies, Female, Humans, Hypersensitivity, Insect Bites and Stings, Male, Middle Aged, Patient Compliance, Wasp Venoms, Journal Article",
author = "Marthe-Lisa Schaarschmidt and Mandy Gutknecht and Lisa Schoeben and Astrid Schmieder",
note = "{\textcopyright} 2018 S. Karger AG, Basel.",
year = "2018",
doi = "10.1159/000488721",
language = "English",
volume = "176",
pages = "150--156",
journal = "INT ARCH ALLERGY IMM",
issn = "1018-2438",
publisher = "S. Karger AG",
number = "2",

}

RIS

TY - JOUR

T1 - Disease Burden, Psychological Well-Being and Attitudes regarding the Set of Emergency Medication in Adults with Insect Venom Allergy

AU - Schaarschmidt, Marthe-Lisa

AU - Gutknecht, Mandy

AU - Schoeben, Lisa

AU - Schmieder, Astrid

N1 - © 2018 S. Karger AG, Basel.

PY - 2018

Y1 - 2018

N2 - BACKGROUND: Insect venom allergy is common and greatly impairs patients' quality of life. Additionally, low compliance with carrying emergency medication is reported. The aim of our study was to analyze the disease burden, levels of anxiety and depression, and to evaluate attitudes towards the set of emergency medication in affected patients.METHODS: Between April 2016 and January 2017, patients ≥18 years visiting our department because of an insect venom allergy were asked to complete a paper-based questionnaire. The questionnaire assessed willingness to pay (WTP), the Hospital Anxiety and Depression Scale (HADS), subjective anxiety levels, willingness to carry the set of emergency medication, self-assurance in using it, compliance with carrying it, and reasons for not always carrying it.RESULTS: 55 patients (81.8% wasp allergy) were included. On average, WTP for a complete cure was EUR 1,727 (median: 500). Using the HADS, 14.5% showed definite anxiety disorders while 5.5% had significant depression disorders. Most patients stated to carry the emergency medication "always" (25.5%) or "almost always" (47.3%). "Forgetfulness" (36.4%) was reported as the main reason for not always carrying the medication, followed by "too big" (18.2%).CONCLUSIONS: In our patient cohort, insect venom allergy was associated with a moderate disease burden and a good compliance with carrying the emergency medication. However, several of our participants demonstrated borderline or significant anxiety and/or depression disorders. In this regard, this study highlights the necessity to regularly ask the patient about the psychological well-being to identify patients needing psychological support.

AB - BACKGROUND: Insect venom allergy is common and greatly impairs patients' quality of life. Additionally, low compliance with carrying emergency medication is reported. The aim of our study was to analyze the disease burden, levels of anxiety and depression, and to evaluate attitudes towards the set of emergency medication in affected patients.METHODS: Between April 2016 and January 2017, patients ≥18 years visiting our department because of an insect venom allergy were asked to complete a paper-based questionnaire. The questionnaire assessed willingness to pay (WTP), the Hospital Anxiety and Depression Scale (HADS), subjective anxiety levels, willingness to carry the set of emergency medication, self-assurance in using it, compliance with carrying it, and reasons for not always carrying it.RESULTS: 55 patients (81.8% wasp allergy) were included. On average, WTP for a complete cure was EUR 1,727 (median: 500). Using the HADS, 14.5% showed definite anxiety disorders while 5.5% had significant depression disorders. Most patients stated to carry the emergency medication "always" (25.5%) or "almost always" (47.3%). "Forgetfulness" (36.4%) was reported as the main reason for not always carrying the medication, followed by "too big" (18.2%).CONCLUSIONS: In our patient cohort, insect venom allergy was associated with a moderate disease burden and a good compliance with carrying the emergency medication. However, several of our participants demonstrated borderline or significant anxiety and/or depression disorders. In this regard, this study highlights the necessity to regularly ask the patient about the psychological well-being to identify patients needing psychological support.

KW - Adult

KW - Aged

KW - Anxiety

KW - Attitude to Health

KW - Cost of Illness

KW - Depression

KW - Emergencies

KW - Female

KW - Humans

KW - Hypersensitivity

KW - Insect Bites and Stings

KW - Male

KW - Middle Aged

KW - Patient Compliance

KW - Wasp Venoms

KW - Journal Article

U2 - 10.1159/000488721

DO - 10.1159/000488721

M3 - SCORING: Journal article

C2 - 29768265

VL - 176

SP - 150

EP - 156

JO - INT ARCH ALLERGY IMM

JF - INT ARCH ALLERGY IMM

SN - 1018-2438

IS - 2

ER -